| Countryside Chiropractic | |
|
7700 W Old Shakopee Rd Suite 120 Bloomington MN 55438-3311 | |
| (952) 829-0262 | |
| (952) 829-0327 |
| Full Name | Countryside Chiropractic |
|---|---|
| Speciality | Clinic/center |
| Location | 7700 W Old Shakopee Rd, Bloomington, Minnesota |
| Authorized Official Name and Position | Lynne Marie Madej (OWNER/OPERATOR) |
| Authorized Official Contact | 9528290262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Countryside Chiropractic 7700 W Old Shakopee Rd Suite 120 Bloomington MN 55438-3311 Ph: (952) 829-0262 | Countryside Chiropractic 7700 W Old Shakopee Rd Suite 120 Bloomington MN 55438-3311 Ph: (952) 829-0262 |
| NPI Number | 1699941385 |
|---|---|
| Provider Enumeration Date | 05/02/2008 |
| Last Update Date | 03/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699941385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DC 5087 (Minnesota) | Primary |
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